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1588723902
ROLAND HATHWAY
EUGENE, OR
NPI
1588723902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C2048)
Enumeration Date
2006-12-08
Last Update Date
2007-12-11
Business Address
-- ROLAND HATHWAY LPC, QMHP
1193 PEARL ST
EUGENE, OR 97401-3521
Phone number: 541-343-1937
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Mailing Address
-- ROLAND HATHWAY LPC, QMHP
1193 PEARL ST
EUGENE, OR 97401-3521
Phone number: 541-343-1937
Copy
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